Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure
Abstract Purpose This study evaluates the use of the needle arthroscopy in anatomical reconstruction of the lateral ankle. We hypothesized that the needle arthroscopy would allow anatomical reconstruction to be performed under arthroscopy. Methods Three patients underwent treatment of chronic ankle...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-022-00510-x |
| _version_ | 1797321426821185536 |
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| author | R. Lopes T. Noailles G. Padiolleau N. Bouguennec T. D. Vieira |
| author_facet | R. Lopes T. Noailles G. Padiolleau N. Bouguennec T. D. Vieira |
| author_sort | R. Lopes |
| collection | DOAJ |
| description | Abstract Purpose This study evaluates the use of the needle arthroscopy in anatomical reconstruction of the lateral ankle. We hypothesized that the needle arthroscopy would allow anatomical reconstruction to be performed under arthroscopy. Methods Three patients underwent treatment of chronic ankle instability. The comparative procedure was performed in the following four steps: 1) anteromedial articular exploration (medial/lateral gutter/anterior chamber/syndesmosis); 2)creation of the talar tunnel via the anteromedial arthroscopic approach; 3) anterolateral fibular tunneling; and 4) positioning of the graft by the anteromedial arthroscopic approach. For each of these steps, the planned procedure using the needle arthroscope was compared to the standard arthroscope. For each step, the planned procedure using the needle arthroscopy was compared to the standard arthroscope and the act was classified based on level of difficulty: facilitated, similar, complicated and impossible. Results The exploration of the medial and lateral gutter, the creation of the tunnel of the talus and graft positioning were not accomplished using the needle arthroscope. While the syndesmosis visualization was facilitated by the needle arthroscope in comparison to the standard arthroscope. Conclusion The anatomical reconstruction of the lateral ankle, using the needle arthroscopy‐only approach, was impossible in all three cases, regarding: ankle joint exploration, creation of the tunnel of the talus and graft positioning. The needle arthroscope should not be considered as a “mini arthroscope” but as a new tool with which it is necessary to rethink procedures to take advantage of the benefits of this instrument. |
| first_indexed | 2024-03-08T04:58:28Z |
| format | Article |
| id | doaj.art-60fc6c47b3524a9aa2d8379863de863f |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T04:58:28Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-60fc6c47b3524a9aa2d8379863de863f2024-02-07T14:50:37ZengWileyJournal of Experimental Orthopaedics2197-11532022-01-0191n/an/a10.1186/s40634-022-00510-xNeedle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedureR. Lopes0T. Noailles1G. Padiolleau2N. Bouguennec3T. D. Vieira4Pied Cheville Nantes AtlantiqueClinique Brétéché 3 rue de la Béraudière44000NantesFranceDépartement de Chirurgie OrthopédiquePolyclinique de Bordeaux Nord, 15, rue Claude‐Boucher33000BordeauxFrancePied Cheville Nantes AtlantiqueSanté Atlantique, Avenue Claude Bernard44800Saint‐HerblainFranceClinique du Sport de Bordeaux‐Mérignac2 rue Negrevergne33700MerignacFranceCentre Orthopédique SantyFIFA Medical Center of ExcellenceGroupe Ramsay‐Generale de Santé24 Avenue Paul Santy69008LyonFranceAbstract Purpose This study evaluates the use of the needle arthroscopy in anatomical reconstruction of the lateral ankle. We hypothesized that the needle arthroscopy would allow anatomical reconstruction to be performed under arthroscopy. Methods Three patients underwent treatment of chronic ankle instability. The comparative procedure was performed in the following four steps: 1) anteromedial articular exploration (medial/lateral gutter/anterior chamber/syndesmosis); 2)creation of the talar tunnel via the anteromedial arthroscopic approach; 3) anterolateral fibular tunneling; and 4) positioning of the graft by the anteromedial arthroscopic approach. For each of these steps, the planned procedure using the needle arthroscope was compared to the standard arthroscope. For each step, the planned procedure using the needle arthroscopy was compared to the standard arthroscope and the act was classified based on level of difficulty: facilitated, similar, complicated and impossible. Results The exploration of the medial and lateral gutter, the creation of the tunnel of the talus and graft positioning were not accomplished using the needle arthroscope. While the syndesmosis visualization was facilitated by the needle arthroscope in comparison to the standard arthroscope. Conclusion The anatomical reconstruction of the lateral ankle, using the needle arthroscopy‐only approach, was impossible in all three cases, regarding: ankle joint exploration, creation of the tunnel of the talus and graft positioning. The needle arthroscope should not be considered as a “mini arthroscope” but as a new tool with which it is necessary to rethink procedures to take advantage of the benefits of this instrument.https://doi.org/10.1186/s40634-022-00510-xAnkle reconstructionAnkle arthroscopyNeedle arthroscopyAnkle ligamentsArthroscopyNanoscope |
| spellingShingle | R. Lopes T. Noailles G. Padiolleau N. Bouguennec T. D. Vieira Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure Journal of Experimental Orthopaedics Ankle reconstruction Ankle arthroscopy Needle arthroscopy Ankle ligaments Arthroscopy Nanoscope |
| title | Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure |
| title_full | Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure |
| title_fullStr | Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure |
| title_full_unstemmed | Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure |
| title_short | Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure |
| title_sort | needle arthroscopy in anatomical reconstruction of the lateral ankle a report of three cases with a parallel comparison to the standard arthroscopy procedure |
| topic | Ankle reconstruction Ankle arthroscopy Needle arthroscopy Ankle ligaments Arthroscopy Nanoscope |
| url | https://doi.org/10.1186/s40634-022-00510-x |
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